[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-108-2-產兒科護理學-067","nurse-108-2-maternal-pediatric-067",108,2,67,"有關哮吼（croup）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"最常引起的致病原是 A 群 β 型葡萄球菌","較易發生在學齡期兒童","呼氣時會聽見哮喘聲（stridor）","病童會出現聲音沙啞（hoarseness）、喉嚨緊縮及狗吠式咳嗽（barking cough）","D",null,[],"本題考點為哮吼（croup，喉氣管支氣管炎）的致病原、好發年齡與典型症狀。依臨床特徵，哮吼因上呼吸道聲門下水腫，典型表現為聲音沙啞、喉嚨緊縮及狗吠式咳嗽（barking cough），故 D 正確。A 錯：最常見致病原為副流感病毒（parainfluenza），非 A 群 β 型鏈球菌。B 錯：好發於 3 個月至 3 歲的嬰幼兒，非學齡期。C 錯：喉部水腫造成的哮鳴（stridor）出現在「吸氣期」而非呼氣時，故選 D。","哮吼病生理是聲門下（subglottic）黏膜水腫使氣道變窄，頸部 X 光正面呈「尖塔徵（steeple sign）」為特徵。吸氣性 stridor 是上呼吸道阻塞指標，與下呼吸道氣喘的呼氣性喘鳴（wheezing）方向相反，是常考對比。處置以濕冷空氣、噴霧腎上腺素及類固醇減輕水腫。鑑別：會厭炎（epiglottitis）由 b 型嗜血桿菌引起、起病更急、有流涎與三腳架姿勢，勿與哮吼混淆。",[24,27,29,31],{"term":25,"count":26},"哮吼 croup",1,{"term":28,"count":26},"副流感病毒",{"term":30,"count":26},"吸氣性喘鳴 stridor",{"term":32,"count":26},"狗吠式咳嗽",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-068","有關扁桃腺切除術（tonsillectomy）後的護理措施，下列敘述何者錯誤？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-2-maternal-pediatric-004","懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",4,109,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-110-1-maternal-pediatric-018","待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",18,110,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-111-1-maternal-pediatric-056","依據娜姬（Nagy）的理論，9 歲兒童對死亡的概念為何？",56,111,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-2-maternal-pediatric-020","有關產褥期身心調適的敘述，下列何者錯誤？",20,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-034","有關早產兒常發生的問題，下列敘述何者錯誤？",34,113,"2026-09-04",1788510707370]